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Invited Critique
December 1, 2004

Nasojejunal Tube Placement After Total Gastrectomy—Invited Critique

Arch Surg. 2004;139(12):1313. doi:10.1001/archsurg.139.12.1313

Invited critiques are often used to point out failings in a particular article, oversights or flaws in the study design, or simple differences of opinion. Rarely are they chosen because of concordance of opinion. This study is a multicenter prospective randomized trial from the Italian Total Gastrectomy Study Group members. The information presented attempts to answer the specific question of whether an NJT (remember that the stomach has been removed) had an effect on the incidence of esophagojejunal leak. The answer presented is that NJT placement does not protect the anastomosis or the closure of the jejunum from leak, as the leak rate was the same in both groups. This fits with my bias and, therefore, is readily accepted.